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HomeMy WebLinkAbout0004615-Electric (bathroom remodel) � � CITY OF OSHKOSH N°_ 04615 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS _ � °�,� �� ���� PLAN NO. OWNER /.S�'1 �"I IJ 9 E' `� DESIGNER USE/NATURE OF WORK_�� ►'Y� C d t' �� /? �U C�1 �'J') BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR�b � I9� �I C C Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures � Switches � Receptacles �� Circuits � � PLUMBING CONTRACTOR . —BT —WH —Disp WSoft CBasin Lav Sh —DW DF San. Sewer —WC —FDr —SP Ur —Storm Sewer —Sink LTub —Eject SS Water Other / O� FEES: Valuation $ "— Permit Fee Paid $ ��, Park Dedication $ ISSUED BY Date ��` � �� Final/O.P. �� �°2 3'�7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. : SIGNATURE , �•.�� �� � AGENT/OWNER DATE ADDRESS � TELEPHONE#